NCT02539368

Brief Summary

This is a post-marketing observational study of patients with Inflammatory Bowel Disease (specifically, Crohn's disease or Ulcerative Colitis) who have been prescribed CT-P13 (infliximab) or Remicade (infliximab) for treatment. CT-P13 (brand names Inflectra and Remsima) is a biosimilar medicine to Remicade, meaning it is a biologic medicine that contains the same active substance as Remicade (infliximab). The key study objectives are as follows:

  • To characterize the population and drug utilization patterns of patients treated with CT-P13 for Crohn's Disease (CD) or Ulcerative Colitis (UC) in the context of standard of care Remicade
  • To explore the long-term safety profile of CT-P13 in the treatment of patients with CD or UC in the context of standard of care Remicade
  • To assess the effectiveness of CT-P13 in the treatment of patients with CD or UC in the context of standard of care Remicade

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
2,565

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Apr 2015

Typical duration for all trials

Geographic Reach
13 countries

140 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 22, 2015

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

July 22, 2015

Completed
1 month until next milestone

First Posted

Study publicly available on registry

September 3, 2015

Completed
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 31, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 31, 2018

Completed
1.3 years until next milestone

Results Posted

Study results publicly available

February 13, 2020

Completed
Last Updated

February 13, 2020

Status Verified

January 1, 2020

Enrollment Period

3.5 years

First QC Date

July 22, 2015

Results QC Date

October 22, 2019

Last Update Submit

January 30, 2020

Conditions

Keywords

CT-P13InflectraRemicadeInfliximabObservationalFollow-upSafetyEffectiveness

Outcome Measures

Primary Outcomes (9)

  • Disease Characteristics of Participants: Disease Duration

    Disease duration was defined as the number of months from initial diagnosis of inflammatory bowel disease (CD or UC) to the date of informed consent, which was recorded at the time of enrollment into the study (baseline).

    Baseline (Day 1)

  • Number of Participants Who Switched Treatment

    Here, number of participants with either UC or CD, who switched from remicade to CT-P13; switched from CT-P13 to remicade and multiple switchers were reported.

    From baseline to follow-up period (up to a maximum duration of 2 years)

  • Reasons for Switching Treatment by Participants

    From baseline to follow-up period (up to a maximum duration of 2 years)

  • Total Dose of Infusion Received

    Total dose of infusion received by the participants was calculated.

    From baseline to follow-up period (up to a maximum duration of 2 years)

  • Number of Participants by Frequency of Infusion Received

    Number of participants by infusion frequency (weeks) were reported at baseline and categorized as follows: once a week; once every 2 weeks; once every 3 weeks; once every 4 weeks; once every 5 weeks; once every 6 weeks; once every 7 weeks; once every 8 weeks and others. Here, 'Others' category included all the frequencies apart from the mentioned categories.

    Baseline (Day 1)

  • Number of Participants Who Had Change in Infusion Dose

    Participants who had change in the dose of infusion (either dose reduction or increase in dose) were included and reported.

    From baseline to follow-up period (up to a maximum duration of 2 years)

  • Number of Participants Who Had Change in Infusion Dose Categorized Based on Reasons of Change

    Participants who had change in infusion dose due to various reasons such as principal investigator's decision, participant's decisions, loss of response, lack of compliance, hypersensitivity, occurrence of adverse event (including adverse event special interest \[AESI\]/ serious adverse event \[SAE\]), positive for antibodies and other were reported. Here, 'Others' category included all reasons apart from the mentioned categories. A participant could have different reasons of dose change across visits, hence could be counted in more than one category.

    From baseline to follow-up period (up to a maximum duration of 2 years)

  • Number of Participants Who Took Concomitant Medications Related to the Treatment of Crohn's Disease (CD) or Ulcerative Colitis (UC)

    From baseline to follow-up period (up to a maximum duration of 2 years)

  • Number of Participants With Treatment-Emergent Adverse Event (AEs), Serious Adverse Events (SAEs) and Adverse Event With Special Interest (AESIs)

    An AE was any untoward medical occurrence in a participant who received study treatment without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death, initial or prolonged inpatient hospitalization, life-threatening experience (immediate risk of dying), persistent or significant disability or incapacity, congenital anomaly. Treatment-emergent were events between first dose of infusion up to month 24, that were absent before treatment or that worsened relative to pretreatment state. Hypersensitivity was the pre-defined TEAE of special Interest for this study. AEs included both serious and non-serious adverse events.

    From baseline to follow-up period (up to a maximum duration of 2 years)

Secondary Outcomes (14)

  • Number of Participants Remaining in Clinical Remission or Relapse

    Months 6, 12, 18 and 24

  • Crohn's Disease: Number of Participants With Shift From Baseline in Harvey Bradshaw Index (HBI) According to Clinical Remission

    Baseline, Months 6, 12, 18 and 24

  • Crohn's Disease: Number of Participants With Shift From Baseline in Harvey Bradshaw Index According to Disease Activity

    Baseline, Months 6, 12, 18 and 24

  • Ulcerative Colitis: Number of Participants With Shift From Baseline in Partial Mayo Scoring System According to Clinical Remission

    Baseline, Months 6, 12, 18 and 24

  • Ulcerative Colitis: Number of Participants With Shift From Baseline in Partial Mayo Scoring System According to Disease Activity

    Baseline, Months 6, 12, 18 and 24

  • +9 more secondary outcomes

Study Arms (2)

CT-P13

biosimilar infliximab

Drug: CT-P13

Remicade

infliximab

Drug: Remicade

Interventions

CT-P13DRUG

biosimilar infliximab

Also known as: Inflectra, Remsima
CT-P13

infliximab

Remicade

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

The target study population will include patients with CD or UC, who are being treated, or initiating treatment, with CT-P13 or Remicade at the time of study enrolment. This would include the following treatment subgroups: * Biologic-naïve patients initiating CT-P13 (or Remicade); * Patients currently being treated with CT-P13 (or Remicade); * Patients who are considered stable by the Investigator under Remicade therapy for CD or UC, who switch to CT-P13; * Patients switching to CT-P13 or Remicade from an alternative biologic therapy (e.g. adalimumab) due to non-responsiveness to or intolerance; * Patients re-initiating CT-P13 or Remicade after having successfully completed and exited a previous course of infliximab therapy in the past. * Patients with fistulating disease or stomas and those receiving combination therapy will be included.

You may qualify if:

  • At least 12 years of age at the time of initial confirmed diagnosis of CD or UC and at least 18 years of age at the time of enrolment to the study.
  • Patients who are prescribed CT-P13 or Remicade for the treatment of CD or UC prescribed according to the corresponding summary of product characteristics (SmPC) as determined by the Investigator. Patients with stomas or surgery/pouch will be included.

You may not qualify if:

  • Any reported contraindications for CT-P13 or Remicade, according to the SmPC.
  • Known hypersensitivity (including severe, acute infusion reactions) to infliximab, its excipients or other murine proteins, at the time of enrolment.
  • Prior history of failure to respond to Remicade or CT-P13.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (140)

UZ Leuven Campus Gasthuisberg

Leuven, Vlaams Brabant, 3000, Belgium

Location

UZ Antwerpen

Edegem, 2650, Belgium

Location

Fakultni Nemocnice Hradec Kralove

Hradec Králové, 500 05, Czechia

Location

Hradecká Poliklinika III, HEPATO-GASTROENTEROLOGIE HK, s.r.o

Hradec Králové, 500 12, Czechia

Location

Centrum péce o zažívací trakt, Vítkovická nemocnice

Ostrava - Vitkovice, 703 84, Czechia

Location

IKEM (Institut Klinické a Experimentální Medicíny)

Prague, 140 21, Czechia

Location

Nemocnice Na Bulovce

Praha 8 Liben, 180 81, Czechia

Location

Keski-Suomen keskussairaala

Jyväskylä, FI-40620, Finland

Location

Oulu University Hospital

Oulu, 90220, Finland

Location

Turku University Hospital

Turku, 20521, Finland

Location

CHU Amiens

Amiens, 80054, France

Location

CHU Angers

Angers, 49933, France

Location

CHRU de Besancon

Besançon, 25030, France

Location

Centre Hospitalier Universitaire

Caen, 14033, France

Location

Clinique de Bercy

Charenton, 94220, France

Location

CHU Clermontferrand

Clermont-Ferrand, 63003, France

Location

Hopital Beaujon

Clichy, 92110, France

Location

Hôpital Louis Mourier

Colombes, 92700, France

Location

CHU de Grenoble

Grenoble, 38043, France

Location

CHRU

Lille, 59000, France

Location

Hopital Edouard Herriot Pav H

Lyon, 69003, France

Location

Hopital Europeen

Marseille, 13003, France

Location

Hopital Nord

Marseille, 13015, France

Location

CHU

Montpellier, 34295, France

Location

CHU Nimes

Nîmes, 30029/Cedex 9, France

Location

Hôpital Saint-Antoine, AP-HP, Universite Pierre-et-Marie-Curie

Paris, 75012, France

Location

Hopital Cochin

Paris, 75014, France

Location

Institut Montsouris

Paris, 75014, France

Location

Hôpital Européen Georges Pompidou

Paris, 75015, France

Location

Hopital St Louis

Paris, 75475, France

Location

CHU Lyon Sud

Pierre-Bénite, 69495, France

Location

Hopital Metz Tessy

Pringy, 74374, France

Location

Hopital Robert Debre

Reims, 51000, France

Location

Chu Ch.Nicolle

Rouen, 76031, France

Location

Service: CHU saint-etienne

Saint Priez En Jarez, 42270, France

Location

Centre Hospitalier Universitaire

Strasbourg, 67098, France

Location

CHU Rangueil

Toulouse, 31059, France

Location

Hopital Purpan

Toulouse, 31059, France

Location

CHU Nancy

Vandœuvre-lès-Nancy, 54511, France

Location

Groupe hospitalier mutualiste les portes du Sud

Vénissieux, 69694, France

Location

St. Marienkrankenhaus

Ludwigshafen am Rhein, Gartenstadt, 67076, Germany

Location

Gemeinschaftspraxis im MEDICUM

Altenholz, 24161, Germany

Location

Gastroenterologische Praxis Dr. med. B. Adami

Alzey, 55232, Germany

Location

Studienzentrum Aschaffenburg

Aschaffenburg, 63739, Germany

Location

Gastroenterologie Am Bayerischen Platz

Berlin, 10825, Germany

Location

Kreiskliniken Altotting-Burghausen

Burghausen, 84489, Germany

Location

Interdisciplinaeres Crohn-Colitis Centrum Rhein-Main

Frankfurt am Main, 60594, Germany

Location

Gemeinschaftspraxis Dr. R Denger und Dr. T. Pfitzner

Friedrichsthal, 66299, Germany

Location

PraxisZentrum fuer Gastroenterologie

Grevenbroich, 41515, Germany

Location

Hamburgisches Forschungsinstitut fur chronisch entzuendliche

Hamburg, 20148, Germany

Location

Gastroenterologische Gemeinschaftspraxis Herne

Herne, 44623, Germany

Location

Internisten am Markt Dres. Schwerdtfeger & Lehmann

Köthen, 06366, Germany

Location

Internistische Gemeinschaftspraxis fuer Verdauungs- und Stoffwechselerkrankungen

Leipzig, 04229, Germany

Location

Onco Studies an der Onkologie Dreiländereck

Loerrach, 79539, Germany

Location

Universitaetsmedizin Mannheim

Mannheim, 68135, Germany

Location

Magen-Darm Praxis Prof. Dr. Krammer & Kollegen

Mannheim, 68165, Germany

Location

Gastroenterologische Gemeinschaftspraxis Minden

Minden, 32423, Germany

Location

Praxis Prof.Dr. med. Herbert Kellner

Muenchen-Nymphenburg, 80639, Germany

Location

Medizinisches Versorgungszentrum Portal 10

Münster, 48155, Germany

Location

Gastroenterologische Gemeinschaftspraxis am Germania-Campus

Münster, 48159, Germany

Location

Praxiszentrum Alte Maelzerei

Regensburg, 93053, Germany

Location

Magen-Darm-Zentrum Remscheid

Remscheid, 42859, Germany

Location

Zentrum für Gastroenterologie Saarbrücken MVZ GmbH

Saarbrücken, 66111, Germany

Location

Ambulanzzentrum-Schweinfurt

Schweinfurt, 97421, Germany

Location

Gastroenterologische Schwerpunktpraxis Stuttgart

Stuttgart, 70178, Germany

Location

University Hospital of Patras

Rio, Patra, Achaia, 265 04, Greece

Location

Hippokration General Hospital of Athens

Athens, Attica, 11527, Greece

Location

Venizeleio Hospital of Heraklion

Heraklion, Crete, 71409, Greece

Location

Evangelismos Hospital

Athens, 10676, Greece

Location

University Hospital of Ioannina

Ioannina, 455 00, Greece

Location

University Hospital of Larissa

Larissa, 41110, Greece

Location

General Hospital of Thessaloniki Ippokrateio

Thessaloniki, 54642, Greece

Location

Semmelweis University

Budapest, H-1088, Hungary

Location

MH Egeszsegugyi Kozpont - Honvedkorhaz

Budapest, H-1134, Hungary

Location

Szte szent-gyorgyi albert klinikai kozpont

Szeged, H-6725, Hungary

Location

Presidio Ospedaliero "M. Raimondi"

San Cataldo (Caltanisetta), Caltanisetta, 93100, Italy

Location

ASL 11 Empoli - Ospedale San Giuseppe

Empoli, FI, 50053, Italy

Location

Azienda Ospedaliero Universitaria Careggi

Florence, FI, 50134, Italy

Location

I.R.C.C.S. Policlinico San Donato

San Donato Milanese, Milano, 20097, Italy

Location

Azienda Ospedaliero-Universitaria di Parma

Parma, PR, 43126, Italy

Location

Ospedale "Sacro Cuore - Don Calabria"

Negrar, Verona, 27024, Italy

Location

Fondazione Poliambulanza - Istituto Ospedaliero

Brescia, 25124, Italy

Location

Azienda Ospedaliera per l'Emergenza Cannizzaro

Catania, 95100, Italy

Location

Azienda Ospedaliero Universitaria - Policlinico "Vittorio Emanuele"

Catania, 95123, Italy

Location

Università degli Studi "G. d'Annunzio" Chieti - Pescara

Chieti, 66100, Italy

Location

ASUR Area Vasta n. 4 - Ospedale A. Murri

Fermo, 63900, Italy

Location

Azienda Ospedaliera Universitaria Careggi

Florence, 50134, Italy

Location

Università degli Studi di Genova

Genova, 16132, Italy

Location

Ospedale Generale Provinciale di Macerata

Macerata, 62100, Italy

Location

A.O.U. Policlinico "G.Martino"

Messina, 98125, Italy

Location

Azienda Ospedaliera - Universitaria di Modena Policlinico

Modena, 41124, Italy

Location

Azienda Ospedaliero Universitaria Policlinico Paolo Giaccone

Palermo, 90127, Italy

Location

Az.Osp. Ospedali Riuniti 'Villa Sofia-Cervello

Palermo, 90146, Italy

Location

AOUP - Ospedale di Cisanello

Pisa, 56124, Italy

Location

Azienda Ospedaliera Universitaria di PISA

Pisa, 56124, Italy

Location

Ospedale Sandro Pertini

Roma, 00157, Italy

Location

Ospedale San Camillo

Rome, 00152, Italy

Location

A.O.U. "S. Maria della Misericordia di Udine"

Udine, 33100, Italy

Location

Ziekenhuis Gelderse Vallei

Ede, 6716 RP, Netherlands

Location

Catharina Ziekenhuis

Eindhoven, 5623, Netherlands

Location

Rijnstate

Gelderland, 6815 AD, Netherlands

Location

Hospital Prof. Doutor Fernando Fonseca E.P.E

Amadora, Lisbon District, 2720-276, Portugal

Location

Centro Hospitalar entre Douro e Vouga E.P.E.

Santa Maria Da Feira, Porto District, 4520-211, Portugal

Location

Centro Hospitalar Barreiro Montijo, E.P.E

Barreiro, 2830-003, Portugal

Location

Centro Hospitalar Lisboa Norte, E.P.E.- Hospital Santa Maria

Lisbon, 1649-035, Portugal

Location

FNsP F. D. Roosevelta Banska Bystrica

Banská Bystrica, 974 01, Slovakia

Location

V. interna klinika LFUK a UNB, Ambulancia pre nespecificke zapalove ochorenia

Bratislava, 826 06, Slovakia

Location

Hospital Arquitecto Marcide

Ferrol, A Coruna, 15405, Spain

Location

Hospital Clinico Universitario de Santiago

Santiago de Compostela, A Coruna, 15706, Spain

Location

Hospital Son Espases

Palma. Mallorca, Balearic Islands, 07120, Spain

Location

Hospital Universitari Germans Trias i Pujol

Badalona, Barcelona, 08916, Spain

Location

Hospital Universitari de Girona Dr. Josep Trueta

Girona, Barcelona, 17007, Spain

Location

Hospital de Sabadell

Sabadell, Barcelona, 08208, Spain

Location

Hospital de Galdakao

Usansolo, Bizkaia, 48960, Spain

Location

Hospital Universitario de Gran Canaria DR NEGRIN

Las Palmas de Gran Canari, Canary Islands, 35010, Spain

Location

Hospital de Alcorcon

Alcorcón, Madrid, 28922, Spain

Location

Hospital Universitario de Fuenlabrada

Fuenlabrada, Madrid, 28942, Spain

Location

Hospital Universitario Infanta Sofia

San Sebastian de Los Reye, Madrid, 28702, Spain

Location

Complejo Hospitalario de Navarra

Pamplona, Navarre, 31008, Spain

Location

Hospital Universitario La Princesa

Madrid, 28006, Spain

Location

Hospital Universitario Gregorio Marañon

Madrid, 28007, Spain

Location

Hospital Ramon y Cajal

Madrid, 28034, Spain

Location

Hospital Clinico San Carlos

Madrid, 28040, Spain

Location

Hospital Fundación Jiménez Díaz

Madrid, 28040, Spain

Location

Hospital Universitario La Paz

Madrid, 28046, Spain

Location

Hospital Alvaro Cunqueiro

Pontevedra, 36312, Spain

Location

Hospital Clínico de Valencia

Valencia, 46010, Spain

Location

Consorci Hospital General Universitari de Valencia

Valencia, 46014, Spain

Location

Hospital Universitari i Politecnic La Fe

Valencia, 46026, Spain

Location

Hospital Clinico Universitario de Valladolid

Valladolid, 47005, Spain

Location

Royal Gwent Hospital

Exeter, Devon, EX2 5DW, United Kingdom

Location

Dorset County Hospital

Dorchester, Dorset, DT1 2JY, United Kingdom

Location

Gloucestershire Hospitals - NHS Foundation Trust

Gloucester, Gloucestershire, GL1 3NN, United Kingdom

Location

Cwm Taf University Health Board

Llantrisant, Wales, CF72 8XR, United Kingdom

Location

University Hospital Coventry

Coventry, WEST Midlands, CV2 2DX, United Kingdom

Location

Salisbury NHS Foundation Trust

Salisbury, Wiltshire, SP2 8BJ, United Kingdom

Location

Heart of England NHS Foundation Trust

Birmingham, B9 5SS, United Kingdom

Location

The Royal Bournemouth Hospital

Bournemouth, BH7 7DW, United Kingdom

Location

Queen Alexandra Hospital

Hampshire, PO6 3LY, United Kingdom

Location

Southampton General Hospital

Southampton, SO16 6YD, United Kingdom

Location

Related Publications (1)

  • Bokemeyer B, Hlavaty T, Allez M, Selema P, Moosavi S, Cadatal MJ, Fowler H, Mueller M, Liau KF, Gisbert JP. Real-world observational cohort study of treatment patterns and safety outcomes of infliximab biosimilar CT-P13 for the treatment of inflammatory bowel disease (CONNECT-IBD). Expert Opin Biol Ther. 2023 Jul-Dec;23(8):791-800. doi: 10.1080/14712598.2023.2200883. Epub 2023 Apr 16.

MeSH Terms

Conditions

Inflammatory Bowel DiseasesColitis, UlcerativeCrohn Disease

Interventions

CT-P13Infliximab

Condition Hierarchy (Ancestors)

GastroenteritisGastrointestinal DiseasesDigestive System DiseasesIntestinal DiseasesColitisColonic Diseases

Intervention Hierarchy (Ancestors)

Antibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Results Point of Contact

Title
Pfizer ClinicalTrials.gov Call Center
Organization
Pfizer, Inc.

Study Officials

  • Pfizer CT.gov Call Center

    Pfizer

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 22, 2015

First Posted

September 3, 2015

Study Start

April 22, 2015

Primary Completion

October 31, 2018

Study Completion

October 31, 2018

Last Updated

February 13, 2020

Results First Posted

February 13, 2020

Record last verified: 2020-01

Data Sharing

IPD Sharing
Will not share

Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

Locations