Evidence map›Paper›PMID 20117244›Full record

Trial reportClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2010

Continuous therapy with certolizumab pegol maintains remission of patients with Crohn's disease for up to 18 months.

Gary R Lichtenstein, Ole Ø Thomsen, Stefan Schreiber, Ian C Lawrance, Stephen B Hanauer, Ralph Bloomfield, William J Sandborn, Precise 3 Study Investigators

2 registry-linked trialsOpen access · bronzeAbstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
6.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00152425 phase3completednot on this map

A Phase III Multi-national, Multi-centre, Double-blind Placebo-controlled Parallel Group, 26 Week Study to Assess the Maintenance of Clinical Response to Humanised Anti-TNF PEG Conjugate, CDP870 400 mg sc, (Dosed 4-weekly From Weeks 8 to 24), in the Treatment of Patients With Active Crohn's Disease Who Have Responded to Open Induction Therapy (Dosed at Weeks 0, 2 and 4) With CDP870

TypeinterventionalSponsorUCB PharmaRan2004 to 2005Enrolled392ConditionsCrohn's DiseaseArmsCertolizumab Pegol (CDP870)
NCT00160524 phase3completednot on this map

A Phase III Multi-national, Multi-centre, Open Label, Safety Study to Assess the Safety of Chronic Therapy With the Humanised Anti-TNF PEG Conjugate CDP870 400 mg sc, (Dosed 4-weekly), in the Treatment of Patients With Active Crohn's Disease Who Have Previously Completed Studies CDP870-031 or CDP870-032

TypeinterventionalSponsorUCB Pharma SARan2004 to 2012Enrolled596ConditionsCrohn's DiseaseArmsCertolizumab Pegol (CDP870)
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 109 citations in OpenAlex.

  1. Pooled it
  2. Immunogenicity of Biologics in Chronic Inflammatory Diseases: A Systematic Review.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2017
    Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Landscape of new drugs and targets in inflammatory bowel disease.United European gastroenterology journal · 2022
    Review
  8. Review
  9. Article
  10. Review
  11. Anti-TNF Therapy in Crohn's Disease.International journal of molecular sciences · 2018
    Review
  12. Article
  13. Immunogenicity of biologics in inflammatory bowel disease.Therapeutic advances in gastroenterology · 2018
    Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Approach to Optimize Anti-TNF-α Therapy in Patients With IBD.Current treatment options in gastroenterology · 2016
    Article
  19. Article
  20. Biologic agents for IBD: practical insights.Nature reviews. Gastroenterology & hepatology · 2015
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 5 countries.

Gary R LichtensteinGastrointestinal Division, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104-4283, USA. gary.lichtenstein@uphs.upenn.edu
Ole Ø Thomsen
Stefan Schreiber
Ian C Lawrance
Stephen B Hanauer
Ralph Bloomfield
William J Sandborn
Precise 3 Study Investigators
Fremantle Hospital · AUHerlev Hospital · DKKiel University · DEMayo Clinic · USUCB Pharma (United Kingdom) · GBUniversity of Chicago Medical Center · USUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsThe safety and efficacy of maintenance therapy with the anti-tumor necrosis factor certolizumab pegol has not been reported beyond 6 months. We assessed the long-term efficacy, safety, and immunogenicity of continuous versus interrupted maintenance therapy with subcutaneous certolizumab pegol in patients with Crohn's disease.

methodsPatients who responded to induction therapy at week 6 of the PEGylated Antibody Fragment Evaluation in Crohn's Disease: Safety and Efficacy (PRECiSE) 2 trial were assigned randomly to groups given certolizumab pegol (continuous) or placebo (drug-interruption) during weeks 6 to 26. Patients who completed PRECiSE 2 were eligible to enter PRECiSE 3, an ongoing, prospective, open-label extension trial in which patients have received certolizumab pegol (400 mg) every 4 weeks for 54 weeks to date, and were not offered the option to increase their dose. Disease activity was measured by the Harvey-Bradshaw Index.

resultsHarvey-Bradshaw Index responses at week 26 for the continuous and drug-interruption groups were 56.3% and 37.6%, respectively; corresponding remission rates were 47.9% and 32.4%, respectively. Of patients responding at week 26, response rates at week 80 after the start of PRECiSE 2 in the continuous and drug-interruption groups were 66.1% and 63.3%, respectively; among patients in remission at week 26, week 80 remission rates were 62.1% and 63.2%, respectively. More patients in the drug-interruption group developed antibodies against certolizumab pegol (and had lower plasma concentrations of certolizumab pegol) than the continuously treated group.

conclusionsCertolizumab pegol effectively maintains remission of Crohn's disease for up to 18 months. Continuous therapy is more effective than interrupted therapy.

Indexed as

AdolescentAdultAntibodies, Monoclonal, HumanizedCertolizumab PegolChronic DiseaseCrohn DiseaseFemaleHumansImmunoglobulin Fab FragmentsImmunologic FactorsMaleMiddle AgedPlacebosPolyethylene GlycolsProspective StudiesSeverity of Illness IndexAntibodies, Monoclonal, HumanizedCertolizumab PegolImmunoglobulin Fab FragmentsImmunologic FactorsPlacebosPolyethylene Glycols

Identifiers

PMID20117244
OpenAlexW2039439001

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.