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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01199302
Registration number
NCT01199302
Ethics application status
Date submitted
9/09/2010
Date registered
10/09/2010
Date last updated
28/12/2021
Titles & IDs
Public title
Long-term Safety Study of Brodalumab in Adults With Crohn's Disease
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Scientific title
A Long-term Assessment of Safety and Efficacy of AMG 827 Treatment in Subjects With Crohn's Disease
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Secondary ID [1]
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2010-020881-53
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Secondary ID [2]
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20100008
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Crohn's Disease
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Condition category
Condition code
Oral and Gastrointestinal
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Inflammatory bowel disease
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Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Oral and Gastrointestinal
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Crohn's disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - Brodalumab
Experimental: Brodalumab 350 mg - Participants received brodalumab 350 mg intravenously (IV) on day 1, week 4 and every 4 weeks thereafter for up to 132 weeks.
Treatment: Other: Brodalumab
Administered intravenously once every 4 weeks
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of Participants With Treatment-emergent Adverse Events (TEAEs)
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Assessment method [1]
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An adverse event (AE) is defined as any untoward medical occurrence in a clinical trial subject including worsening of a pre-existing medical condition, and not necessarily having a causal relationship with study treatment. A treatment-emergent AE is an event that occurred after the initiation of study drug or was already present prior to the initiation of study drug but worsened in either intensity or frequency after the initiation of study drug.
The investigator assessed whether each AE was possibly related to the study drug.
A serious adverse event is defined as an AE that met at least 1 of the following serious criteria:
* fatal,
* life threatening,
* required in-patient hospitalization or prolongation of existing hospitalization,
* resulted in persistent or significant disability/incapacity,
* congenital anomaly/birth defect, and/or
* other significant medical hazard.
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Timepoint [1]
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From first dose of study drug until the end of study; median (min, max) duration was 70 days (14, 223)
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Primary outcome [2]
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Percentage of Participants Who Achieved a CDAI Response
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Assessment method [2]
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CDAI response is defined as a reduction from baseline in CDAI score of = 100 points.
The CDAI measures the severity of active disease using 8 disease variables (stool frequency, severity of abdominal pain, degree of general well-being, presence or absence of extra-intestinal manifestations or fistula, use or non-use of antidiarrheal agents, presence or absence of an abdominal mass, hematocrit, and body weight). The CDAI score is calculated by summing weighted scores for each item. CDAI scores range from 0 to 600, with higher scores indicating greater disease activity.
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Timepoint [2]
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Baseline of the parent study and weeks 2, 4, 6, 8, 10, 12, 16, and 20
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Primary outcome [3]
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Percentage of Participants Who Achieved Clinical Remission
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Assessment method [3]
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Clinical remission is defined by a CDAI score of = 150 points. The CDAI measures the severity of active disease using 8 disease variables (stool frequency, severity of abdominal pain, degree of general well-being, presence or absence of extra-intestinal manifestations or fistula, use or non-use of antidiarrheal agents, presence or absence of an abdominal mass, hematocrit, and body weight). The CDAI score is calculated by summing weighted scores for each item. CDAI scores range from 0 to 600, with higher scores indicating greater disease activity.
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Timepoint [3]
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Weeks 2, 4, 6, 8, 10, 12, 16, and 20
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Secondary outcome [1]
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CDAI Score Over Time
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Assessment method [1]
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The CDAI measures the severity of active disease using 8 disease variables (stool frequency, severity of abdominal pain, degree of general well-being, presence or absence of extra-intestinal manifestations or fistula, use or non-use of antidiarrheal agents, presence or absence of an abdominal mass, hematocrit, and body weight). The CDAI score is calculated by summing weighted scores for each item. CDAI scores range from 0 to 600, with higher scores indicating greater disease activity.
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Timepoint [1]
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Weeks 2, 4, 6, 8, 10, 12, 16, and 20
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Secondary outcome [2]
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Change From Baseline in CDAI Score Over Time
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Assessment method [2]
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The CDAI measures the severity of active disease using 8 disease variables (stool frequency, severity of abdominal pain, degree of general well-being, presence or absence of extra-intestinal manifestations or fistula, use or non-use of antidiarrheal agents, presence or absence of an abdominal mass, hematocrit, and body weight). The CDAI score is calculated by summing weighted scores for each item. CDAI scores range from 0 to 600, with higher scores indicating greater disease activity.
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Timepoint [2]
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Baseline of the parent study and Weeks 2, 4, 6, 8, 10, 12, 16, and 20
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Secondary outcome [3]
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Number of Participants Who Developed Anti-brodalumab Binding Antibodies
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Assessment method [3]
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Binding antibodies to brodalumab were detected using an anti-brodalumab immunoassay.
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Timepoint [3]
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Blood samples were collected at study entry, week 4, 24 and at last visit (maximum time on study was 32 weeks).
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Secondary outcome [4]
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Change From Baseline in C-reactive Protein (CRP) Levels Over Time
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Assessment method [4]
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Timepoint [4]
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Baseline of the parent study and Weeks 2, 4, 6, 8, 10, 12, 16, and 20
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Eligibility
Key inclusion criteria
* Subject was randomized into study 20090072 (NCT01150890) and completed the week 12 evaluation.
* Subject completed the week 12 evaluation in study 20090072 no more than 1 year prior to the planned first visit of AMG 827 in 20100008.
* Subject or subject's legally acceptable representative has provided informed consent.
* Subject meets regional recommendations for immunizations, eg, United States Centers for Disease Control and Prevention recommendations for subjects enrolled in the United States.
* For subjects with = 3 months between the week 12 visit of 20090072 and the planned first dose of AMG 827 in 20100008: If testing is clinically indicated in the opinion of the investigator (eg, because of known recent exposure), then subject has negative test for hepatitis B, hepatitis C, and/or human immunodeficiency virus (HIV).
* For female subjects with = 4 weeks between the week 12 visit of 20090072 and the planned first dose of AMG 827 in 20100008: Subject has a negative urine pregnancy test at baseline prior to the first dose of AMG 827 in the open-label extension (except those at least 2 years post menopausal or surgically sterile).
* For female subjects with > 4 weeks between the week 12 visit of 20090072 and the planned first dose of AMG 827 in 20100008: Subject has a negative serum pregnancy test within 28 days before initiating AMG 827 and a negative urine pregnancy test at baseline prior to the first dose of AMG 827 in the open-label extension (except those at least 2 years post menopausal or surgically sterile).
* For subjects with = 3 months between the week 12 visit of 20090072 and the planned first dose of AMG 827 in 20100008, if clinically indicated in the opinion of the investigator (eg, because of known recent exposure) please assess the following:
* If the subject entered 20090072 with a negative purified protein derivative (PPD) test: Subject must have a negative PPD test within 30 days prior to the planned first dose of AMG 827. Tuberculin skin tests should be considered positive when they have greater than or equal to 5 mm of induration at 48-72 hours after test is placed.
* If the subject entered 20090072 with a positive PPD: Subject must have a negative Quantiferon test within 30 days prior to the planned first dose of AMG 827.
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Minimum age
No limit
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Subject had any serious adverse event reported during study 20090072 and considered to be related to investigational product.
* Subject experienced an adverse event or laboratory abnormality in study 20090072 that, in the opinion of the investigator, could cause extension of treatment to be detrimental to the subject, prevent the subject from completing the study, or interfere with the interpretation of the study results.
* Subject has known sensitivity to any of the products to be administered during dosing.
Other medical conditions
* Subject is currently experiencing an infection of Common Terminology Criteria for Adverse Events grade 2 (if requiring oral medication) or higher. Subject is ineligible until the infection resolves.
* Subject has a serious infection, defined as requiring hospitalization or intravenous antibiotics, within 8 weeks before the first dose of AMG 827 in 20100008.
* For subjects with = 3 months between the week 12 visit of 20090072 and the planned first dose of AMG 827 in 20100008: Subject has recurrent or chronic infections, defined as = 3 infections requiring anti-microbials over the past 12 months prior to screening.
* Subject has a significant concurrent medical condition, including
* Type 1 diabetes
* Uncontrolled type 2 diabetes
* Moderate to severe heart failure (New York Heart Association class III or IV)
* Myocardial infarction within the last year
* Current or history of unstable angina pectoris within the last year
* Uncontrolled hypertension as defined by resting blood pressure = 150/90 mmHg prior to first investigational product dose (confirmed by a repeat assessment)
* Severe chronic pulmonary disease (eg, requiring oxygen therapy)
* Major chronic inflammatory disease or connective tissue disease other than Crohn's disease (eg, systemic lupus erythematosus, rheumatoid arthritis, psoriasis)
* Active malignancy, including evidence of cutaneous basal or squamous cell carcinoma or melanoma
* History of cancer (except successfully treated in situ cervical cancer or squamous or basal cell carcinoma of the skin).
* Any condition that, in the opinion of the investigator, might cause this study to be detrimental to the subject
* Laboratory abnormalities
* For subjects with > 4 weeks between the week 12 visit of 20090072 and the planned first dose of AMG 827 in 20100008, subject has laboratory abnormalities at screening, including
* Elevated aspartate aminotransferase or alanine aminotransferase (> 2x upper limit of normal)
* Serum direct bilirubin = 1.5x upper limit of normal
* Hemoglobin < 10 g/dL
* Hemoglobin A1c > 8.0 (for subjects with type 2 diabetes)
* Platelet count < 125,000 /mm^3
* White blood cell count < 3,000 cells/mm^3
* Absolute neutrophil count < 2,000/mm^3
* Creatinine clearance < 50 mL/min (Cockroft-Gault formula, central lab will calculate value and provide to sites)
* Any other laboratory abnormality, which, in the opinion of the investigator, could cause extension of treatment to be detrimental to the subject, prevent the subject from completing the study, or interfere with the interpretation of the study results
* Washouts and non-permitted drugs
* Subject has used Tysabri (natalizumab) subsequent to study 20090072.
* Subject received an anti-tumor necrosis factor agent within 8 weeks prior to the first dose of AMG 827 in 20100008.
* Subject received other commercially available biologic agent (eg, ustekinumab) within 12 weeks prior to the first dose of AMG 827 in 20100008.
* Subject received an investigational agent (other than AMG 827), investigational procedure, or participated in an investigational device study subsequent to study 20090072.
* Subject received live vaccines within 12 weeks prior to the first dose of AMG 827 in 20100008.
* Subject received cyclosporine, mycophenolate mofetil, sirolimus (rapamycin), thalidomide, or tacrolimus within 4 weeks prior to the first dose of AMG 827 in 20100008.
* General or other
* Female subject is not willing to use highly effective contraception during treatment with AMG 827 (except if at least 2 years postmenopausal or surgically sterile).
* Subject is pregnant or breast feeding, or planning to become pregnant while enrolled in the study.
* Subject has any kind of disorder that, in the opinion of the investigator, may compromise the ability of the subject to give written informed consent and/or to comply with all required study procedures.
* Subject will not be available for protocol required study visits, to the best of the subject and investigator's knowledge.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
2/02/2011
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
18/10/2011
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Sample size
Target
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Accrual to date
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Final
67
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Recruitment in Australia
Recruitment state(s)
SA,VIC,WA
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Recruitment hospital [1]
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Research Site - Kurralta Park
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Recruitment hospital [2]
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Research Site - Box Hill
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Recruitment hospital [3]
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Research Site - Fitzroy
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Recruitment hospital [4]
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Research Site - Fremantle
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Recruitment postcode(s) [1]
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5037 - Kurralta Park
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Recruitment postcode(s) [2]
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3128 - Box Hill
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Recruitment postcode(s) [3]
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3065 - Fitzroy
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Recruitment postcode(s) [4]
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6160 - Fremantle
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Alabama
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United States of America
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Florida
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United States of America
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Louisiana
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United States of America
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Maryland
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United States of America
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Minnesota
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United States of America
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Missouri
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United States of America
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New York
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Country [8]
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United States of America
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North Carolina
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Country [9]
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United States of America
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Tennessee
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Texas
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United States of America
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Utah
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Country [12]
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Belgium
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State/province [12]
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Bonheiden
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Country [13]
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Belgium
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Gent
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Country [14]
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Belgium
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State/province [14]
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Leuven
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Belgium
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Roeselare
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Canada
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British Columbia
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Canada
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Manitoba
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Canada
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Ontario
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Canada
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Quebec
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Country [20]
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France
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Lille cedex
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France
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Nice Cedex 3
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France
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Paris Cedex 10
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France
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Paris
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France
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Toulouse Cedex 09
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France
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Vandoeuvre les Nancy
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Country [26]
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Netherlands
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Amsterdam
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Poland
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Bydgoszcz
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Poland
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Sopot
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Spain
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Cataluña
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Country [30]
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Spain
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State/province [30]
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Galicia
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Amgen
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to evaluate the safety and efficacy of long-term treatment with brodalumab in adults with Crohn's disease.
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Trial website
https://clinicaltrials.gov/study/NCT01199302
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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MD
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Address
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Amgen
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01199302
Download to PDF